Community Memorial Hospital in Redfield, SD has a part-time/benefit eligible position (56 hours/pay period) for a Health Information Management Coder.

Job Summary:

The Health Information Management Coder is responsible for evaluating patient records for suitability, completeness, and correctness of health data. The position requires extensive knowledge of medical terminology, anatomy & physiology. The coder is responsible for conversion of diagnosis and treatment procedures into codes using an international classification of diseases & entering the data into the appropriate database. The HIM Coder is responsible for maintaining & understanding all coding guidelines, which includes but is not limited to: proper sequencing of diagnosis & procedures and appropriate use of modifiers in order to optimize reimbursement. The HIM coder is responsible for ensuring that all records are abstracted/coded within a timely manner. When discrepancies occur, the HIM coder is responsible for communicating with the physician in a professional, tactful manner, in order to gain clarification. The position is required to adhere to company policy & HIPPA regulations.

Essential Job Functions:

• Ensures that patient records are coded within a timely manner

• Review medical records thoroughly to ascertain all diagnosis & procedures

• Communicates with the physician in a professional, tactful manner, in order to gain clarification to ensure the record is coded properly

• Abstracts diagnoses & procedure codes from patient records in entirety & enter the information into the systems database

• Codes all diagnoses/procedures in accordance to ICD-10-CM coding guidelines.

• Meets quality standards of having a 95% accuracy rate of coding

• Review coding periodicals as time allows

• Ensures data quality and optimum reimbursement allowable under the federal and state payment systems

• Acts as a resource person to hospital staff for coding and may provide education regarding coding changes/issues

• Must be familiar with all medical records and coding requirements, including inpatient, outpatient, SNF, rural health & critical access

• Maintains confidentiality by keeping all patient and medical information seen and heard in the facility in the strictest confidence

• Contributes to team effort by maintaining a good working relationship within the department, other departments & medical staff

• Conserves resources by using equipment and supplies as needed

• Must have a thorough understanding of evaluations and management coding

• Refers medical record to director, if there is a question regarding diagnoses/procedure codes

• Organizes and prioritizes assigned work, and schedules time to accommodate work demands, turnaround time requirements, and commitments

• Other duties as assigned

Essential Physical Demands:

• For physical demands of position, including vision, hearing, repetitive motion and environment, see the following description

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

• Ability to pass an employment physical complete with a urine drug screen

Professional Requirements:

• Adheres to dress code standards: appearance is neat and clean

• Completes annual educational requirements, (Corporate Compliance, etc.)

• Maintains patient confidentiality at all times

• Wears identification while on duty

• Reports to work on time and, as scheduled, complete work within a designated time

• Attends annual review and departmental in-service, as appropriate

• Actively participate in performance improvement and continuous quality improvement activities

• Complies with all organizational policies regarding ethical business practices

• Communicates the mission, ethics and goals of the hospital

• Is a Certified Professional Coder or a Certified Coding Specialist, maintaining credentials throughout employment

• Ability to work with physicians in a collaborative manner

Skills/Qualifications:

-Time Management

-Organization

-Attention to Detail

-Quality Focus

-Professionalism

-Data Entry Management

-Basic Computer Knowledge

-Communication Skills

-Medical Terminology

-ICD-10 coding knowledge

-Anatomy/Physiology

-Productivity with minimal supervision

Education/Experience:

• Bachelor Degree in Health Information Administration or Associate Degree in Health Information Technology preferred. (RHIA or RHIT)

• 1-4 years of coding experience preferred.

Certification, Licensure, and/or Registrations:

• If not certified or registered, the employee is required to obtain one of the certifications below within 6 months of employment. (Preferred upon hire)

• American Health Information Management Association (AHIMA)

• Certified Coding Specialist (CCS)

• Certified Coding Specialist (CCS-P)

• Certified Coding Associate (CCA)

• American Academy of Professional Coders (AAPC)

• Certified Outpatient Coder (COC)

• Certified Professional Coder (CPC)

We are proud to offer :

• Free single health, dental, vision, and life insurance

• Paid time off and extended sick leave

• South Dakota Retirement

• Short and long-term disability

• Employee Assistance Program

• Flex Medical and Daycare Spending

• Cell phone discount codes

The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444.

Additional Notices:

For TTY, dial 711

Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.